The patients, having undergone complex cardiac surgery. Atherosclerotic heart disease of native coronary artery without angina pectoris
Conditions
Interventions
Intervention 1: Intervention group: Participants in the intervention group, in addition to receiving standard post-discharge pharmacological treatment, will receive a web-based educational package and
Sponsors
Kermanshah University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients must have successfully undergone open-heart surgery and be in a stable clinical condition for at least five days after surgery (or based on the opinion of the relevant specialist). Be able to provide written informed consent to participate in the study (i.e., be literate in reading and writing). Have access to a smartphone or computer with an internet connection. Have the ability to use an online system.If the patient does not have internet literacy, one of the family members should agree to support the patient during the training sessions. Be willing to cover the cost of internet access; if they have financial difficulties, this cost will be provided through the project’s budget and the hospital’s research unit
Exclusion criteria
Exclusion criteria: Have language impairments that prevent the patient from completing the questionnaire. Have an unstable clinical condition (for example, in the early postoperative period or in case of acute complications). Have serious cognitive problems such as Alzheimer’s disease or delirium. Have psychiatric disorders that impair judgment and cognition, such as schizophrenia. Have severe visual or hearing impairments that prevent participation in the educational sessions. Have specific medical conditions requiring special treatment that interfere with participation in the educational program, such as patients undergoing chemotherapy for cancer.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| **Improvement in self-care behaviors** Measured using a validated self-care questionnaire specific to cardiac surgery patients, assessed at baseline and at the end of the intervention period.2. **Clinical indicators related to post-surgical recovery** Such as incidence of complications (e.g., infections, hospital readmissions) monitored during the follow-up period.3. **Quality of life** Assessed by a standardized tool (e.g., SF-36 or a cardiac-specific quality of life questionnaire) before and after the intervention. Timepoint: Immediately after the intervention and one month after the intervention and three months after the intervention. Method of measurement: Several questionnaires, particularly the **Self-Care of Coronary Heart Disease Inventory (SC-CHDI)**, and a **researcher-made self-care questionnaire for patients after open-heart surgery based on the Health Belief Model**. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHadi Darvishigilan
Kermanshah University of Medical Sciences
Outcome results
None listed